NIKKITA JACKSON (NPI# 1023627288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023627288 |
Entity Type | Individual |
Full Name | NIKKITA JACKSON |
Practice Address |
454 Westchester Avenue Port Chester NY 10573 |
Practice Telephone | 9143510650 |
Mailing Telephone | 9143510650 |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
788484 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | N/A | 131740445 | 01 |
Street Address |
454 WESTCHESTER AVENUE |
City | PORT CHESTER |
State | NY |
Zip Code | 10573 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568091676 | Jessica Michelle Cabrera-guzhnay | Counselor | One Gateway Plaza St.3b, Port Chester, NY 10573 | 2020-04-02 |
1275036436 | Vernon Z Harris | Massage Therapist | Rye Brook Physical Medicine and Rehabilitation PC, 14 Rye Ridge Plaza Suite 238, Rye Brook, NY 10573 | 2018-03-14 |
1750825303 | Christopher Petrowski | Contractor | 310 Locust Avenue, Port Chester, NY 10573 | 2016-12-15 |
1457808974 | Rye Ridge Pharmacy Inc | Pharmacy | 146 S. Ridge Street, Rye Brook, NY 10573 | 2016-09-01 |
1841646270 | Jill Brookman | Specialist | 124 Country Ridge Drive, Rye Brook, NY 10573 | 2016-05-04 |
1396128963 | Madhulika Priya Advani | Dentist | 118 South Ridge St, Suite 5, Rye Brook, NY 10573 | 2015-07-01 |
1407254063 | Mirzana Calhoun | Licensed Practical Nurse | 411 Westchester Ave 1-c, Port Chester, NY 10573 | 2014-12-15 |
1053734038 | Marvin Israel Matz | Otolaryngology | 60 Doral Greens Drive West, Rye Brook, NY 10573 | 2014-01-28 |
1932520392 | Beth Woodtli | Counselor | 12 Jean Lane, Rye Brook, NY 10573 | 2014-01-02 |
1902240518 | Ekaterina Castano | Pathology | 10 Pearl St Fl 4, Port Chester, NY 10573 | 2013-04-25 |
Find all providers in zip 10573 |
Taxonomy Code | 163WM0705X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Medical-Surgical |
Definition to come... |
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1013521129 | Eliana Shinefield | Registered Nurse | 520 W 184th St Apt 42, New York, NY 10033-4353 | 2020-09-04 |
1710591292 | Suzanne Soltani | Registered Nurse | 6 Harriet Ct, Sea Cliff, NY 11579-1419 | 2020-09-02 |
1790397446 | Chaunte West | Registered Nurse | 98 Spaulding St, Buffalo, NY 14220-1238 | 2020-08-22 |
1154946663 | Schnell Ewart Fowles | Registered Nurse | 14742 109th Ave, Jamaica, NY 11435-5416 | 2020-06-10 |
1295359057 | Amenda Almonte | Registered Nurse | 15804 Sanford Ave Apt 2a, Flushing, NY 11358-2532 | 2020-06-07 |
1982228979 | Christine Egeria Mouzakitis | Registered Nurse | 12 Vinton St, North Massapequa, NY 11758-1030 | 2020-06-04 |
1053933861 | Elissa Bruzga | Registered Nurse | 208 Schoenfeld Blvd, Patchogue, NY 11772-2961 | 2020-05-14 |
Find all providers with the same taxonomy |
City | PORT CHESTER |
Zip Code | 10573 |
Please comment or provide details below to improve the information on NIKKITA JACKSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.